| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING-BOSTON | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $27K | — | $27K | 6.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNUM LIFE INSURANCE CO. OF AMERICA EIN 01-0278678 N/A | Other services Service code 49 | — | $114K |
| BLACKROCK EIN 94-3112180 RECORD-KEEPER | Investment management; Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution); Trustee (discretionary); Direct payment from the plan Service code 21 | — | $19K |
| STATE STREET GLOBAL ADVISORS EIN 04-0025081 RECORD-KEEPER | Investment management fees paid directly by plan Service code 51 | — | $12K |
| WILLIS TOWERS WATSON EIN 26-0775680 N/A | Other services Service code 49 | — | $10K |
| GRAYCLIFF MEZZANINE II PARALLEL LP EIN 36-4711561 RECORD-KEEPER | Investment management Service code 28 | — | $7K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 3,645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,408 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,053 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | COMBINED INSURANCE COMPANY OF AMERICA | 4,363 | $231K |
| Life insurance | AMICA LIFE INSURANCE COMPANY | 4,867 | $4.6M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 3,432 | $432K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 3,432 | $432K |
| Other(2 contracts, 2 carriers) | GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY | 3,564 | $176K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,867 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.